| Stacy Kraft, Lcsw, Llc | |
|
425 Fairview Ave Ste 1 Ponca City OK 74601-1924 | |
| (580) 382-5770 | |
| Not Available |
| Full Name | Stacy Kraft, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 425 Fairview Ave Ste 1, Ponca City, Oklahoma |
| Authorized Official Name and Position | Stacy Kraft (OWNER) |
| Authorized Official Contact | 5803825770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Kraft, Lcsw, Llc 425 Fairview Ave Ste 1 Ponca City OK 74601-1924 Ph: (580) 382-5770 | Stacy Kraft, Lcsw, Llc 425 Fairview Ave Ste 1 Ponca City OK 74601-1924 Ph: (580) 382-5770 |
| NPI Number | 1932565645 |
|---|---|
| Provider Enumeration Date | 01/11/2016 |
| Last Update Date | 01/11/2016 |
| Medicare PECOS PAC ID | 9739481425 |
|---|---|
| Medicare Enrollment ID | O20160113000066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932565645 | NPI | - | NPPES |
| 200323460A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stacy L Kraft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497846851 PECOS PAC ID: 5496754731 Enrollment ID: I20061213000541 |
Edwin Fair Community Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 N 5th St, Ponca City, OK 74601 Phone: 580-762-7561 Fax: 580-762-2576 | |
Grand Lake Mental Health Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 W South Ave, Ponca City, OK 74601 Phone: 580-308-5515 Fax: 580-749-5792 | |
Kara M. Smith, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Fairview Ave, Suite 1, Ponca City, OK 74601 Phone: 580-382-5772 Fax: 580-382-5731 | |
Laura Peitz Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1912 Lake Rd, Ponca City, OK 74604 Phone: 580-762-6511 Fax: 580-762-6511 | |
Edwin Fair Community Mental Health Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 N 6th St, Ponca City, OK 74601 Phone: 580-762-7561 Fax: 580-762-2576 | |
Suzan B. Simmons, Ph.d,,pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1916 Lake Rd, Ponca City, OK 74604 Phone: 580-761-3799 | |
Soaring Heights Mental Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Summers Pl, Ponca City, OK 74604 Phone: 406-998-8390 |